NURS 350 barriers to nurses’ participation in the development of health care

DQ1 Discuss your position regarding access to and coverage for health care. Are we obligated to provide access to and coverage for health care for all Americans as an entitlement (a right), or should health care be considered a commodity that is subject to the influences of economic, social, and market demand (supply and demand)? Be sure to include the rationale for your position in your discussion.

DQ2 What are the barriers to nurses’ participation in the development of health care policy at the state or national level or in an organization in the United States? Why do you think these are barriers? Support your opinion with a rationale or example.

barriers to nurses’ participation in the development of health care policy at the state or national level or in an organization in the United States?
NURS 510 What are the barriers to nurses’ participation in the development of health care policy at the state or national level or in an organization in the United States?
Barriers To Nurses’ Work NURS510

This study aimed to determine the barriers to implementation of EBP among nurses. This cross-sectional study was conducted in Zahedan City, South East of Iran, in 2014. The questionnaire of barriers to implementation of EBP consists of 27 statements which was distributed among 280 nurses. More than half of the participants agreed that 56% and 57% of barriers to implementation of evidence based practice are related to organizational and individual aspects, respectively. Participants identified barriers at organizational level included the lack of human resources (78.3%), lack of internet access at work (72.2%), and heavy workload (70.0%). Barrier at individual level included lack of time to read literature (83.7%), lack of ability to work with computer (68.8%), and insufficient proficiency in English language (62.0%). Age, educational level, job experience, and employment status were associated with organizational barriers to implementation of EBP. At the individual level only education was associated with barriers to implementation of EBP. Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of quality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of barriers will help health care system and policy makers to provide a culture of EBP.

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1. Introduction
Delivery of high-quality and consistent services is a big challenge in the health care system nowadays [1]. Evidence based practice (EBP), a problem-solving approach to patient care based on the best available and valid evidence, leads to enhanced quality of care [2], reduced costs [3], and the individual and

professional development of nurses and other health workers [4]. Moreover, EBP based on international standards enhances the quality of clinical practice [5]. EBP has been promoted as a way for clients to receive the best level of care [6].

Nurses are the largest group of health care providers and have a key role in ensuring the promotion of health care [7] and delivering better services [4]. EBP is important to the professional development, responsibility, and capabilities of nurses [5], and it has become an important subject in nursing and has integrated into daily practice [8]. In addition, nurses who practice based on the scientific evidence have been able to make better decisions in services delivery [9]. Though nurses generally report positive attitudes and beliefs towards EBP [9–11], previous studies show that nurses were not familiar enough with its principals and they use EBP to a limited extent [9, 12, 13].